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Short Arm Splint Supplies, Adult, Plaster

Utah rates for HCPCS Q4021

Cast supplies, short arm splint, adult (11 years +), plaster

Rates data updated July 2026.

Facilitymedian $7 · 10th–90th $7$70%50%$7Professionalmedian $7 · 10th–90th $5$210%10%20%10th90th$7$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$6.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$6.61
Typical High
$20.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.47
Typical High
$3.47
Molina
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$7.59
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$6.03
Typical High
$7.24
Select Health
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
Select Health
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$8.51
Typical High
$8.91
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$8.51
Typical High
$10.47
United
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$3.55
Typical High
$6.03